Provider First Line Business Practice Location Address:
415 COLUMBIA ROAD
Provider Second Line Business Practice Location Address:
UPHAMS CORNER HEALTH CENTER
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-740-8000
Provider Business Practice Location Address Fax Number:
617-740-8060
Provider Enumeration Date:
08/09/2005